FORT WAYNE ORTHOPAEDICS, LLC (NPI# 1043527781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043527781 |
| Entity Type | Organization |
| Organization Name | FORT WAYNE ORTHOPAEDICS, LLC |
| Practice Address |
410 N Willowbrook Rd Coldwater MI 49036-9462 |
| Mailing Address |
Po Box 2526 Fort Wayne IN 46801-2526 |
| Practice Telephone | 2604368686 |
| Practice Fax Number | 2604368585 |
| Mailing Telephone | 2604368686 |
| Mailing Fax Number | 2604368585 |
| Enumeration Date | 2010-09-01 |
| Last Update Date | 2010-09-01 |
| Authorized Official Name | MR. JERALD L COOPER (PRESIDENT) |
| Authorized Official Telephone | 2604368686 |
| Authorized Official Credential | M.D, |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
Allopathic & Osteopathic Physicians | ||
| N | 207XS0117X |
Orthopaedic Surgery Specialization: Orthopaedic Surgery of the Spine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
Allopathic & Osteopathic Physicians | ||
| N | 207XX0801X |
Orthopaedic Surgery Specialization: Orthopaedic Trauma |
Allopathic & Osteopathic Physicians | ||
| N | 213E00000X | Podiatrist | Podiatric Medicine & Surgery Service Providers | ||
| N | 213ES0103X |
Podiatrist Specialization: Foot & Ankle Surgery |
Podiatric Medicine & Surgery Service Providers | ||
| N | 363A00000X | Physician Assistant | Physician Assistants & Advanced Practice Nursing Providers | ||
| Y | 207X00000X | Orthopaedic Surgery | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IN | 100210470 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982060190 | Fort Wayne Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 2936 Frontage Rd, Warsaw, IN 46580-3914 | 2016-01-05 |
| 1255750352 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 800 Broadway, Ste 215, Fort Wayne, IN 46802-2149 | 2014-04-16 |
| 1871808923 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 2512 E Dupont Rd, Suite 110, Fort Wayne, IN 46825-1609 | 2010-08-13 |
| 1609181759 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1302 Minnich Rd, New Haven, IN 46774-2052 | 2010-08-13 |
| 1104131259 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 3270 Intertech Dr, Angola, IN 46703-7325 | 2010-08-13 |
| 1720393861 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1100 S Main St, Bluffton, IN 46714-3615 | 2010-08-13 |
| 1740595891 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 3171 E Center Street Ext, #75, Warsaw, IN 46580-3901 | 2010-08-13 |
| 1619281219 | Fort Wayne Orthopaedics, LLC | Orthopaedic Surgery | 1316 E 7th St, Suite 2, Auburn, IN 46706-2523 | 2010-08-06 |
| 1033320510 | Fort Wayne Orthopaedics, LLC | Durable Medical Equipment & Medical Supplies | 7601 W Jefferson Blvd, Fort Wayne, IN 46804-4133 | 2007-05-25 |
| Street Address |
410 N WILLOWBROOK RD |
| City | COLDWATER |
| State | MI |
| Zip Code | 49036-9462 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689649055 | Richard John Hartman Jr. | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2006-02-21 |
| 1932726908 | Max M Patterson | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2020-06-25 |
| 1871977884 | Heather L Green | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2015-07-20 |
| 1528494911 | Brittany Leigh Hartman | Nurse Practitioner | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2013-09-18 |
| 1497004220 | Ashley M Clemons | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2012-09-07 |
| 1962751537 | Albert J Neukom IIi | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2012-08-29 |
| 1902185044 | Philip David Walbright | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2011-08-08 |
| 1477854214 | Kenneth Martin Rubin | Nurse Practitioner | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2010-11-10 |
| 1831421528 | The Famiily Practice and Orthopedic Care Center, P.C. | Physical Therapist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2010-02-04 |
| 1861720831 | Family Practice & Orthopedic Care Center P.C. | Specialist | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2009-12-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194295790 | Jacqueline Hensell | Physical Therapist | 320 East Chicago St, Coldwater, MI 49036 | 2018-11-27 |
| 1285104869 | Jaycie Rose Littley | Physical Therapist | 320 E Chicago Street, Coldwater, MI 49036 | 2018-11-27 |
| 1881161651 | David Linklater | Physical Therapist | Promedica Coldwater Regional Hospital, 274 East Chicago Street, Coldwater, MI 49036 | 2018-10-30 |
| 1144733734 | Luke Norcross | Social Worker | 200 Vista Drive, Coldwater, MI 49036 | 2017-11-06 |
| 1508312471 | Tiffany Vanluven | Rehabilitation Practitioner | 528 West Chicago St. Atp13, Coldwater, MI 49036 | 2016-08-30 |
| 1477904175 | Shawn Talbot | Psychologist | 300 Orleans Blvd, Coldwater, MI 49036 | 2016-06-24 |
| 1124406863 | Alexys Wolfinger | Rehabilitation Practitioner | 528 W. Chicago St. Apt. 20, Coldwater, MI 49036 | 2015-05-14 |
| 1194118968 | Kim Clemens | Rehabilitation Practitioner | 465 N Michigan Ave., Coldwater, MI 49036 | 2015-03-18 |
| 1205238854 | Coldwater Family Dentistry P.C. | Dentist | 575 N Union City Road, Coldwater, MI 49036 | 2014-09-25 |
| 1114337581 | Johnson Kattathra | Pharmacist | 620 E Chicago St, Coldwater, MI 49036 | 2014-05-06 |
| Find all providers in zip 49036 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578716379 | The Family Practice and Orthopedic Care Center Pllc | Orthopaedic Surgery | 410 N Willowbrook Road, Suite A, Coldwater, MI 49036 | 2008-10-24 |
| 1083811061 | Orthopaedic Institute of Ohio, Inc | Orthopaedic Surgery | 830 W Main St Ste 4, Coldwater, OH 45828-1657 | 2007-07-02 |
| 1013124015 | Mark D Mayer | Orthopaedic Surgery | 320 E Chicago St, Coldwater, MI 49036-2068 | 2007-05-17 |
| 1275586091 | A M Manohar Md PC | Orthopaedic Surgery | 87 W Pearl St, Coldwater, MI 49036-1933 | 2006-05-19 |
| 1689649055 | Richard John Hartman Jr. | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2006-02-21 |
| 1285057471 | Coldwater Orthopaedics, Pllc | Orthopaedic Surgery | 320 E Chicago St, Coldwater, MI 49036-2068 | 2014-01-24 |
| 1194907576 | Anand Mukund Manohar | Orthopaedic Surgery | 87 W Pearl St, Coldwater, MI 49036-1933 | 2007-11-28 |
| 1154369460 | Frank Laurence Bunch Jr. | Orthopaedic Surgery | 410 N Willowbrook Rd, Coldwater, MI 49036-9462 | 2006-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740805365 | Conner D Ahlgren | Orthopaedic Surgery | 3535 W 13 Mile Rd Ste 742, Royal Oak, MI 48073-6770 | 2020-06-09 |
| 1063035319 | Alex Kane Miller | Orthopaedic Surgery | 3577 W 13 Mile Rd Ste 402, Royal Oak, MI 48073-6710 | 2020-05-21 |
| 1396374716 | Arjun Patel | Orthopaedic Surgery | Ascension Genesys, Gme Dept, One Genesys Pkwy, Grand Blanc, MI 48439-4843 | 2020-04-07 |
| 1346876711 | Timothy Curtis Mead | Orthopaedic Surgery | 4752 Lake Harbor Rd, Norton Shores, MI 49441-5236 | 2020-03-18 |
| 1932751112 | Mendelson Warren Pharmacy | Orthopaedic Surgery | 11900 E 12 Mile Rd Ste 105, Warren, MI 48093-3487 | 2019-07-09 |
| 1023678059 | Th Mg Ohio LLC | Orthopaedic Surgery | 1050 Wilshire Dr Ste 300, Troy, MI 48084-1526 | 2019-06-20 |
| 1609430321 | Mohamed Saad-waterworks, PC | Orthopaedic Surgery | 21031 Michigan Ave Fl 2, Dearborn, MI 48124-2339 | 2019-04-29 |
| 1346804135 | Matthew M Astolfi | Orthopaedic Surgery | 3601 W Thirteenth Mile Road, Royal Oak, MI 48073 | 2019-04-26 |
| 1588228845 | Muhammad Talha Padela | Orthopaedic Surgery | 3990 John R St Ste 7b, Detroit, MI 48201 | 2019-04-23 |
| 1134681125 | Neuro Spine Institute Pllc | Orthopaedic Surgery | 29255 Northwestern Hwy Ste 202, Southfield, MI 48034-5741 | 2019-04-01 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.